Oh Bother!

I was innocently eating dinner last night, and suddenly detected a lump in my mouth.  I won't go into details, but I found a tooth crown that had come loose.  I'm glad my tongue found it before my teeth did! 

I washed it off carefully, then put it in a shotglass of mouthwash to keep it overnight.  My dentist had an opening at 3 pm today, so off I went.  I was admitted promptly at 3 pm (be still my beating heart).   First thing they did was sterilize it of course (mouthwash or not - they were kind about that and admired my intent).  Then they examined the tooth for damage and it looking OK, they tried a test re-fit.

It fit so well, they actually had trouble getting it back off.  So they took it away and drilled off the old epoxy.  The dentist Himself came in and showed it to me.  The gold crown was so old it actually had a hole worn through the top.  Well, I had several crowns 40 years ago, so it lasted pretty well.

And I learned something about crowns.  I always thought gold crowns lasted the longest, but was wrong.  Porcelain lasts longest, followed by silver, followed by gold.  And the gold content is low.  But gold wears at about the same rate as tooth enamel, so the bite stays the same.  Silver is close and can easily be ground down to match the bite. 

Porcelain doesn't wear down.  You would think that would be perfect, but it means that the crown top becomes a high spot over decades and makes your jaw adjust and some annoying stuff like that.  It is mostly for cosmetic reasons.  Well, I seriously doubt anyone other than a dentist will ever see that back molar.

The old crown was replaced, but it is temporary (like a year or 3).  It still has that tiny hole in the top, and that will lead to caries someday.  But "tis enough, will serve"...

But it also meant he looked at my other teeth.  I knew there were 2 other teeth that had sharp tops, which meant damage.  I'd been avoiding it. 

But you have to get such things fixed eventually.  As the dentist said, "you can have them fixed now while I can still put a crown on them, or you can wait until they have to be removed entirely".  So I have an appointment in 2 weeks to start getting those 2 teeth crowned, and then the old (now temporary) one from today replaced over a series of visits. 

I hate dental visits.  Well, no one likes them, but mine are worse than average.  I have a small jaw (apparently genetic) and can't open it as far as most people can.  My cats can open theirs more than I can!  A kitten probably can...  I have the jaw of a 12 year old!  In general, I have great genes - other than my teeth.  I seem to owe that to Dad.  At my age, he had almost no tooth unfilled, uncrowned, and 2 partial bridges.  At least I'm not at that point yet.  Hurray for fluoridation and novocaine (and nitrous oxide on occasion during a root canal).

My jaw is so small, my wisdom teeth never even emerged, and even then my teeth are too crowded.  In my 20s, a dentist said I should have 4 teeth extracted; a left upper and lower; a right upper and lower, make proper room for the rest.  At the time, that seemed horrible!  He said it would be painful afterwards for days.  But now I wish I had had that done.  Nothing like hindsight...

As it turned out, I had to have 2 teeth extracted 4 years ago.  One planned because it had simply fallen apart, and one unplanned because the roots were entangled  in the first.  Fortunately, it didn't bother me.  But the thing that amazed me was that the procedure wasn't the least bit painful (as the old dentist suggested it would be).  It was however utterly boring (no pun intended).  Drilling, spitting, holding my head to resist pulls, etc.  Never hurt in the least during or after!

On the other hand, I have a limited number of teeth, so I would like to keep them as long as possible.  Anything good for 20 years is probably OK.

So I'm going on a journey of dental work, which should last until flu season is over.  Then to a doctor to start getting regular exams and a series of physical and virtual exams that my insurance rep says is covered these days as "preventative medicine".  I plan to get every "virtual" test they will allow, and possible some not covered. 

On sad fact is that I've never been to any one doctor for more than a few years, so my medical history is almost non-existent.  But I went through my age-old medical file today and discovered some valuable information. 

Things like a 1988 letter from Mom (in response to my questions) detailing some family and personal history, some old doctor visit bills - a few of which mentioned some blood test results - etc.  I'll make copies to bring to my new doctor (I chose a geriatric internist over a GP).

But the important thing is that I'm getting back on track for regular medical care after decades of assuming I was immortal.  I've treated my cats and maintained my car better than I have myself.

Time to get myself into the maintenance loop...